Individual
LYA PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 LONG RAPIDS RD, TENDERCARE ALPENA, ALPENA, MI 49707
(989) 356-2194
Mailing address
516 ADAMS ST, EAST TAWAS, MI 48730-1534
(989) 362-0269
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006819
MI
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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